Title Page

  • Document No.

  • WHS08-F4-02 Confined Space Register

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

    Confined Space
  • Description of space.

  • Take a photo of the space location.

  • Take a photo of the space entrance.

  • Take a photo of the space exit.

  • (A) Is the space enclosed or partially enclosed?

  • (B) Is it likely to be entered and is it at normal atmospheric pressure?

  • (C) Does the space have a limited or restricted entry or exit?

(D) Does the space contain, is it intended to contain, or is it likely to contain:

  • Harmful level of atmospheric contaminants?

  • An unsafe oxygen level?

  • Substance that could cause engulfment?

If the answer to A, B, C and at least one of D is yes, then the space is a confined space.

  • Is this a confined space?

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